| NPI | 1902150204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3782) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4325) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2014-08-11 |