| NPI | 1639459688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: SC 3577) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3577) |
| 111NN1001X Chiropractor, Nutrition (Licence: SC 3577) | |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2013-03-08 |