| NPI | 1689603078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 259CT) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: CT 259CT) |
| 111NI0900X Chiropractor, Internist (Licence: CT 00259) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2014-11-18 |