| NPI | 1396805040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 2276) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 2012) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |