| NPI | 1821133943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: AZ 8391) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AK AA195) |
| 111NS0005X Chiropractor, Sports Physician (Licence: AZ 565) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: AZ 5027) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: CO 0007050) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2016-09-06 |