| NPI | 1376755413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 1637) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2004002392) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-03-02 |