| NPI | 1316110018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 1160) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6205) |
| 111N00000X Chiropractor (Licence: NE 1594) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2014-01-21 |