| NPI | 1952538514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: CA DC-31196) |
| Additional Taxonomies | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: CA DC-31196) |
| 111NS0005X Chiropractor Sports Physician (Licence: CA DC-31196) | |
| 111NX0800X Chiropractor Orthopedic (Licence: CA DC-31196) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2013-02-18 |