| NPI | 1043458557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3701) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4297) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2015-07-24 |