| NPI | 1679509681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06823) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 1432) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2015-03-11 |