| NPI | 1821121526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 2305) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 18956) |
| 111N00000X Chiropractor (Licence: TN 1080) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-12-28 |