| NPI | 1831581206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 832) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 743) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |