| NPI | 1093011611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03843) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: DC ch030097) |
| 111N00000X Chiropractor (Licence: VA 0104556821) | |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2022-07-21 |