| NPI | 1922022219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: CA DC22627) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC 22627) |
| 111NR0200X Chiropractor, Radiology (Licence: CA DC22627) | |
| 111NN0400X Chiropractor, Neurology (Licence: CA DC22627) | |
| 171100000X Acupuncturist (Licence: CA AC14975) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-08-02 |