| NPI | 1992889794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 375) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 283385) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-04-17 |