| NPI | 1861692220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4524) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 001690) |
| 111N00000X Chiropractor (Licence: NY X0009079) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2021-05-24 |