| NPI | 1043774185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 101432) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 2001) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2020-10-23 |