| NPI | 1053951475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4526) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC DC.4526) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2022-03-30 |