| NPI | 1861739849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4337) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: NC 4337) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2015-09-16 |