| NPI | 1104055383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1370) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: ID CHIA-1370) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2013-01-10 |