| NPI | 1467631044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3967) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7934) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2022-12-29 |