| NPI | 1376802207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: IN 08002651A) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: VI 67) |
| Enumeration Date | 2012-05-13 |
| Last Update Date | 2015-08-19 |