| NPI | 1790895563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4074) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 4903) |
| 111N00000X Chiropractor (Licence: NE 1454) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-02-02 |