| NPI | 1497986681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 001800) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: CT 001800) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-10-29 |