| NPI | 1558590661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007097) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008632) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |