| NPI | 1962558726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 530) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 273155) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-03-12 |