| NPI | 1699809053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: CA 32460) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NV B01242) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-06-06 |