| NPI | 1821168360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 4120) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 3664) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2018-06-14 |