| NPI | 1932530987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557034) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019010812) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2020-03-23 |