| NPI | 1851563225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007066) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 110733) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |