| NPI | 1144528878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1653) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 007387) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2012-02-24 |