| NPI | 1508256611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NM 5737) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NM DC2088) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2019-10-09 |