| NPI | 1891050829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 089643) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 12092) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2018-04-09 |