| NPI | 1184646226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06753) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: IA 06753) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-04-19 |