| NPI | 1184851750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001802) |
| Additional Taxonomies | 111NS0005X Chiropractor Sports Physician (Licence: CT 001802) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2016-03-01 |