| NPI | 1215265301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM 1626) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: NM 1626) |
| 111NN1001X Chiropractor, Nutrition (Licence: NM 1626) | |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |