| NPI | 1386945988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 1213) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010320) |
| 111N00000X Chiropractor (Licence: CO 6498) | |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2013-11-07 |