| NPI | 1588770515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 1127895) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WV 847) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2012-02-20 |