| NPI | 1609931179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3292) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 2899) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2014-04-24 |