| NPI | 1629128996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B-657) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV B00657) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2017-04-12 |