| NPI | 1821149915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 2673) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 3712) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2008-03-06 |