| NPI | 1730264672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: OR 1681) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: OR 1681) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2010-09-15 |