| NPI | 1669527503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1004) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: LA 1287) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2013-07-08 |