| NPI | 1457303612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104555721) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 104555721) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2021-09-13 |