| NPI | 1518572452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8952) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: AZ 8952) |
| 111NS0005X Chiropractor, Sports Physician (Licence: AZ 8952) | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |