| NPI | 1952554990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 007145) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 1528) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2017-02-14 |