| NPI | 1679667893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06561) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002063A) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-06-08 |