| NPI | 1871563635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5447) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AR 1545) |
| 111N00000X Chiropractor (Licence: MT 1197) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2014-11-03 |