| NPI | 1013540830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5301) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: DE F10001015) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2021-11-18 |