| NPI | 1982812178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X (Licence: CA DC30357) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC30357) |
| 111NX0800X Chiropractor, Orthopedic (Licence: CA DC30357) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2007-07-08 |