| NPI | 1811120660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3991) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: NC 3991) |
| 111NX0800X Chiropractor, Orthopedic (Licence: NC 3991) | |
| 111NN0400X Chiropractor, Neurology (Licence: NC 3991) | |
| 111NR0400X (Licence: NC 3991) | |
| 111NN1001X Chiropractor, Nutrition (Licence: NC 3991) | |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: NC 3991) | |
| 111NR0200X Chiropractor, Radiology (Licence: NC 3991) | |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2019-08-13 |