| NPI | 1598978967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV BO1244) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 3783) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2012-10-02 |