| NPI | 1972695799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 2874) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA 2884) |
| 111N00000X Chiropractor (Licence: WI 2926) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |