| NPI | 1356422398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT 919) |
| Additional Taxonomies | 111NR0200X Chiropractor, Radiology (Licence: MT 919) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2010-01-25 |