| NPI | 1063545234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: HI 1238) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3723-012) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2014-08-14 |