| NPI | 1568685139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: MD S03489) |
| Additional Taxonomies | 111NR0400X (Licence: MD S03489) |
| 111NS0005X Chiropractor, Sports Physician (Licence: MD S03489) | |
| 111NX0800X Chiropractor, Orthopedic (Licence: MD S03489) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |