| NPI | 1871999318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 077533) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 5044-12) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2016-11-09 |