| NPI | 1851498919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104000831) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WV 516) |
| 111N00000X Chiropractor (Licence: NC 1881) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |