| NPI | 1730158296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 2233) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 3745) |
| 111N00000X Chiropractor (Licence: CO 2022) | |
| 111N00000X Chiropractor (Licence: OH 968) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2011-09-29 |