| NPI | 1003547548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5397) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 4683) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |