| NPI | 1851577480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2393) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AL 27027) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2017-02-17 |