| NPI | 1932146057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1730) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301009819) |
| 111N00000X Chiropractor (Licence: TX 13271) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2017-01-05 |