| NPI | 1013202639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4207) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3649) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-08-29 |