| NPI | 1659406346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2007000447) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 3441) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2009-10-21 |