| NPI | 1063852994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3832) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4432) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2018-12-26 |