| NPI | 1649440157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WY 783) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 1585) |
| 111N00000X Chiropractor (Licence: SD 1226) | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2024-03-11 |