| NPI | 1427337310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 1237) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6682) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2020-04-07 |