| NPI | 1831514157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 2091) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: NM 2091) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: NM 2091) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: NM 2091) | |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |