| NPI | 1194938464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: CO 5409) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: TX 7839) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2013-05-22 |