| NPI | 1922109123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-0000965) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104000464) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-03-17 |