| NPI | 1144321043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556028) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 20645) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |