| NPI | 1457796104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557063) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 5103) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2020-12-11 |