| NPI | 1407891484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1583) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SD 1077) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2021-10-11 |