| NPI | 1194824250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556386) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD S03448) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-12-06 |