| NPI | 1245317544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3839) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 5890) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-11-01 |