| NPI | 1770881070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3711) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2011006243) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2012-02-15 |