| NPI | 1497878391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3435) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3122) |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2012-10-31 |