| NPI | 1689729758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC28890) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA AT5090) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2014-07-01 |