| NPI | 1750500864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 02149) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: MD 02149) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2014-02-21 |