| NPI | 1013222371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B01594) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008705) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2022-04-13 |