| NPI | 1598033839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 5128) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AK 547) |
| 111N00000X Chiropractor (Licence: TX 11921) | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2014-03-18 |