| NPI | 1730238403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 01330) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104000607) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |