| NPI | 1104109859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4197) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104556907) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2025-01-21 |