| NPI | 1245779958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5837) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 33793) |
| 111N00000X Chiropractor (Licence: KY 5581) | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2018-08-28 |