| NPI | 1093847527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556455) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 3407) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2007-07-09 |