| NPI | 1578822805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B01610) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: SC 1058) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2024-01-16 |