| NPI | 1942529235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: WA 60336304) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: MN 5412) |
| 111NS0005X Chiropractor, Sports Physician (Licence: CO CHR-6488) | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2013-05-09 |