| NPI | 1689770430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: UT 6348142-1202) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: HI 1309) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2015-07-17 |