| NPI | 1285802207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3879) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AR 1708) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2012-02-27 |