| NPI | 1710320403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3993) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4362) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2015-09-08 |