| NPI | 1679543144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556450) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 2558) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-07-09 |