| NPI | 1275080442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5575) |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic (Licence: CO CHR.0007484) |
| 111NX0800X Chiropractor, Orthopedic (Licence: PA DC011181) | |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2018-08-06 |