| NPI | 1346416203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3698) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 3869) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2013-01-10 |