| NPI | 1275835902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557624) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 5966) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2020-04-10 |