| NPI | 1003097973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 800) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SD 1098) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2017-02-01 |