| NPI | 1043332679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC158420) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY DC3391) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-09 |