| NPI | 1336428606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 15727) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 6294) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2013-07-25 |