| NPI | 1891974184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007021) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6271) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2008-11-10 |