| NPI | 1720555790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 34346) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: CA 34346) |
| 111NS0005X Chiropractor, Sports Physician (Licence: CA 34346) | |
| 111NI0900X Chiropractor, Internist (Licence: CA 34346) | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |