| NPI | 1336267459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3923) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AK 441) |
| 111N00000X Chiropractor (Licence: TX 10351) | |
| 111N00000X Chiropractor (Licence: VA 0104556657) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2015-07-14 |