| NPI | 1881835064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NH R4593) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC31145) |
| 208100000X Physical Medicine & Rehabilitation (Licence: MI 4351047857) | |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2025-06-03 |