| NPI | 1477650281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DC 21161) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 010400189) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |