| NPI | 1114068525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556526) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7487) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-08-09 |