| NPI | 1063782456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1487) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5738) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2016-07-11 |