| NPI | 1740372614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2030) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MS 1023) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2016-11-28 |