| NPI | 1376987875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: AZ 8268) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 008268) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2026-03-10 |