| NPI | 1508055450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3944) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 5081) |
| 111N00000X Chiropractor (Licence: NY X011321) | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2010-07-13 |