| NPI | 1821175837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: CA DC19126) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA AT3425) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |