| NPI | 1902913882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO CE 006431) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 0007250) |
| 111N00000X Chiropractor (Licence: PA DC 005465-L) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-09 |