| NPI | 1275686560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5045) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X011236) |
| 111N00000X Chiropractor (Licence: PA DC009622) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |