| NPI | 1922280387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06386) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4545-12) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2014-12-04 |