| NPI | 1396990891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: L-311882) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5841) |
| 111N00000X Chiropractor (Licence: TX 11025) | |
| 111N00000X Chiropractor (Licence: AZ 8043) | |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2024-07-30 |