| NPI | 1730128380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA 2503) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 1448) |
| 111N00000X Chiropractor (Licence: ME CR836) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2008-02-19 |