| NPI | 1568777951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3938) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3459) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2017-10-19 |