| NPI | 1740616960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104001125) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: VA 0104001125) |
| 111NT0100X Chiropractor, Thermography (Licence: VA 0104001125) | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |