| NPI | 1235671132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VT 006.0047438) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X004929-1) |
| 111N00000X Chiropractor (Licence: MO 005214) | |
| 111N00000X Chiropractor (Licence: IL 38-005529) | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |