| NPI | 1144596107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VT 006.0098748) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WY 719) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2014-09-23 |