| NPI | 1194055772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 01825) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104001749) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |