| NPI | 1437220944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 2219) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 2615) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-04-18 |