| NPI | 1750348041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 112384) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 007463) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2022-03-11 |