| NPI | 1720369002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1681) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8431) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2020-08-13 |