| NPI | 1760600027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC26339) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC26339) |
| 111NI0900X Chiropractor, Internist (Licence: CA DC26339) | |
| 111NN1001X Chiropractor, Nutrition (Licence: CA DC26339) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-02-14 |