| NPI | 1457416505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 03586) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4346) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2010-08-22 |