| NPI | 1558389437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT 1166) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 06868) |
| 111N00000X Chiropractor (Licence: WY 675) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-08-22 |