| NPI | 1215053509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 0881511A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4399-12) |
| 111N00000X Chiropractor (Licence: IL 038009351) | |
| 111N00000X Chiropractor (Licence: KY 4216) | |
| 111N00000X Chiropractor (Licence: MI 2301007827) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2019-12-16 |