| NPI | 1003995879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S01323) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 01323) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2012-10-31 |