| NPI | 1467529339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104555596) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 01949) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |