| NPI | 1336198464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 767) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AK 464) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2013-01-10 |