| NPI | 1457473407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 5094) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2017-04-24 |