| NPI | 1457568958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 272272) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: OR 272272) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: OR 272272) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |