| NPI | 1083878250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 077252) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2008011984) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2015-10-05 |