| NPI | 1316026909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6268) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AK 457) |
| 111N00000X Chiropractor (Licence: NJ 38MC00800200) | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-09-27 |