| NPI | 1669798906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X (Licence: CA 11733) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 11733) |
| 111NN1001X Chiropractor, Nutrition (Licence: CA 11733) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: CA 11733) | |
| 111NX0100X Chiropractor, Occupational Health (Licence: CA 11733) | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2019-09-13 |