| NPI | 1013258755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA1366) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PR 490) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2014-10-31 |