| NPI | 1497050116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5919) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2011001121) |
| 111N00000X Chiropractor (Licence: ME CR2148) | |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2018-11-19 |