| NPI | 1306148853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1269) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA Z10347) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2011-03-15 |