| NPI | 1811098049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F10000367) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC005489L) |
| 111N00000X Chiropractor (Licence: NY X007761-1) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |