| NPI | 1760894299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3981) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 001923) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-12-13 |