| NPI | 1528135191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5118) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002693A) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2013-04-11 |