| NPI | 1124266101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03572) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: MD 503572) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2023-08-11 |