| NPI | 1629390232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 3992) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3327) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2015-08-31 |