| NPI | 1598182651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 9410860) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 12596) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351048648) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2022-07-06 |