| NPI | 1538309844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4004) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 11124) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2011-02-23 |