| NPI | 1861752511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4268) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3666) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |