| NPI | 1508092404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-0000661) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: MD S03726) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2013-11-25 |