| NPI | 1619284908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC DC.3729 DC) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60174984) |
| 111N00000X Chiropractor (Licence: IL 038011894) | |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2015-01-08 |