| NPI | 1255589701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: NV 2997) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 10975) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2018-03-27 |