| NPI | 1407260631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 16071) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OK 4159) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2021-03-10 |