| NPI | 1710307624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32179) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CA 32179) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: CA 32179) | |
| 111NX0800X Chiropractor, Orthopedic (Licence: CA 32179) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |