| NPI | 1215064746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: MD D0045015) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: DC MD30628) |
| 111NN0400X Chiropractor, Neurology (Licence: VA 0101050705) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |