| NPI | 1417010158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3272) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 2189) |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2013-12-10 |