| NPI | 1013972686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002169A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4568) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-07-08 |