| NPI | 1053682666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556996) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2012001183) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2013-12-12 |