| NPI | 1952433583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B750) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MT 1143) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-09-12 |