| NPI | 1255486973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5043) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002334A) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2008-07-14 |