| NPI | 1679629695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DC CH30007) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0225021027) |
| 111N00000X Chiropractor (Licence: MD 01952) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |