| NPI | 1578909727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1760) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 007670) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2019-06-29 |