| NPI | 1881919686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PR 485) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 03271) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2019-03-28 |