| NPI | 1750579884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 5080) |
| 111N00000X Chiropractor (Licence: AL 2267) | |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2021-02-16 |