| NPI | 1851536742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007153) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X011471-1) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2014-07-02 |