| NPI | 1083984231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3825) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 1704) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2013-07-11 |