| NPI | 1568416501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5877) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002257A) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2018-03-17 |