| NPI | 1356673446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WY 714) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 7503980-1202) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2015-07-27 |