| NPI | 1376915918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4730) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X012678-1) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2019-07-06 |