| NPI | 1194073098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 923) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VI 52) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-12-26 |