| NPI | 1588710081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2530) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: LA 1396) |
| 111N00000X Chiropractor (Licence: IA 006971) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-02-19 |