| NPI | 1508899873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002046A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 4770) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2011-01-20 |