| NPI | 1548492168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MD 03626) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104556739) |
| Enumeration Date | 2009-08-15 |
| Last Update Date | 2018-01-03 |