| NPI | 1730545286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104-557378) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 11751) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-12-27 |