| NPI | 1467525824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 502) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MT 604) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2013-08-29 |