| NPI | 1124166475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 994) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 3729) |
| 111N00000X Chiropractor (Licence: IN 935) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |