| NPI | 1821327529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4003) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3702) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2012-11-05 |