| NPI | 1932149796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556622) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 03423) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2008-10-01 |