| NPI | 1538452412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4282) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104556889) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2013-04-25 |