| NPI | 1841200532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 503471) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 03471) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-03-01 |