| NPI | 1770980302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1759) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8435) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2017-04-21 |