| NPI | 1558457291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA AO5988) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA A05988) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-05-27 |