| NPI | 1760605984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NH 922) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 30459) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2013-10-31 |