| NPI | 1205920170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK AK590) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC 29782) |
| 111N00000X Chiropractor (Licence: AZ 7919) | |
| 111N00000X Chiropractor (Licence: MI 2301008898) | |
| 111N00000X Chiropractor (Licence: WA CH60050318) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-09-28 |