| NPI | 1932127081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1000) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7717) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-10-21 |