| NPI | 1679577134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 19398) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: CA 19398) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2011-08-31 |