| NPI | 1942428388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 4959) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002207A) |
| 111N00000X Chiropractor (Licence: MI 2301005613) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |