| NPI | 1396827366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 1029) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: AL 1029) |
| 111NS0005X Chiropractor, Sports Physician (Licence: AL 1029) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-12-04 |