| NPI | 1396832119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VT 006-0001094) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x009955) |
| 111N00000X Chiropractor (Licence: PA dc-008035-l) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |