| NPI | 1467684217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT MT 1238) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 3073) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2014-06-23 |