| NPI | 1083171094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 9409) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AZ ATR-100156) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT005583) | |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2026-01-13 |