| NPI | 1144511205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 574) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: IA 574) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |