| NPI | 1013931799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 1561) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: SC 1561) |
| 225X00000X Occupational Therapist (Licence: SC 3722) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-02-05 |