| NPI | 1124691746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172P00000X Naprapath (Licence: NM DN2023-0002) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 225200000X Physical Therapy Assistant (Licence: NM PTA-0963) | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-08-07 |