Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | DC24576 | CA |
NPI | 1003927344 |
---|---|
Provider Name | Dr. Karen Kane Roitz |
First Address | Santa Cruz, CA 95062-2529 |
Second Address | Santa Cruz, CA 95062-2529 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 09/04/2008 |