| NPI | 1902883853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: NV B-01428) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA WA00034546) |
| 111N00000X Chiropractor (Licence: OR 3763) | |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2015-01-27 |