| NPI | 1629298294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DC DC030058) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 03484) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2014-06-18 |