| NPI | 1114111085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 1976) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2068) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |