| NPI | 1003985748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X005033) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: HI 499) |
| 111N00000X Chiropractor (Licence: CA 18552) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |