| NPI | 1972710697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B01202) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104555761) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-04-22 |