| NPI | 1609207109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03822) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 012451) |
| 111N00000X Chiropractor (Licence: DC CH030147) | |
| 111N00000X Chiropractor (Licence: VA 0104557214) | |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2015-09-23 |