| NPI | 1437323979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007511) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3628-012) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2014-12-18 |