| NPI | 1023763844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S04124) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104557783) |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2024-08-22 |