| NPI | 1003186453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA A05769) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 4186) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |