| NPI | 1205828845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 0008024) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 1028) |
| 111N00000X Chiropractor (Licence: SC 2438) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2019-06-10 |