| NPI | 1609079128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007535) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7815) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2013-08-14 |