| NPI | 1982657144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 125478) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104555950) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-09-08 |