| NPI | 1255767323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4506) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AK 558) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2014-08-21 |