| NPI | 1881847341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD Pending) |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic (Licence: SD 1136) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2015-04-15 |