| NPI | 1952538514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X (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 |