| NPI | 1902991227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: CA DC014554) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC014554) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |