| NPI | 1760714505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03648) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 03648) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2015-10-27 |