| NPI | 1275573347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 2050) |
| Additional Taxonomies | 111NS0005X Chiropractor Sports Physician (Licence: NC 2050) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2014-07-07 |