| NPI | 1194483776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172P00000X Naprapath (Licence: IL 181.000407) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 181.000407) |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: IL 181.000407) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 181.000407) | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2023-01-18 |