| NPI | 1851539118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: VA 0104556504) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MD s03521) |
| Enumeration Date | 2009-01-25 |
| Last Update Date | 2012-03-29 |