| NPI | 1538372008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 1586) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 1014001027) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2016-12-20 |