| NPI | 1124358080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1739) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 007249) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2019-08-16 |