| NPI | 1659454486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT 5598) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 3050) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-08-05 |