| NPI | 1265186720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172P00000X Naprapath (Licence: IL 181.000408) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: IL 181.000408) |
| 174400000X Specialist | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: IL 181.000408) | |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-24 |