| NPI | 1942431770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3962) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5559) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2015-04-01 |