| NPI | 1467750695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IL 038005722) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: CA 17937) |
| 111NS0005X Chiropractor, Sports Physician (Licence: CO 3828) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: TN 672) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: GA CHIR007245) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: MI 2301005767) | |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2012-03-30 |