| NPI | 1649276858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8815) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 998) |
| 111N00000X Chiropractor (Licence: MN 3866) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2024-10-15 |