| NPI | 1710079504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 005907) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X006546-1) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |