| NPI | 1508053158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 282576) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MT 782) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |