| NPI | 1891918546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 01683) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: MD 01683) |
| 111NR0400X (Licence: MD 01683) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: MD 01683) | |
| 111NX0800X Chiropractor, Orthopedic (Licence: MD 01683) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2016-03-16 |