| NPI | 1992817670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A112469) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 22488) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-05-30 |