| NPI | 1043302763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: CT 000621) |
| Additional Taxonomies | 111NX0800X Chiropractor Orthopedic (Licence: CA 17369) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |