| NPI | 1417919994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4095) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD S02076) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2014-01-13 |