| NPI | 1538295290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: MO 2001020199) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: MO 2001020199) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-11-19 |