| NPI | 1497748230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S01461) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WV 524) |
| 111N00000X Chiropractor (Licence: DE F10000287) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2008-02-01 |