| NPI | 1154407989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 961) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AK 390) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-01-04 |