| NPI | 1073106449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4702) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 12078823-8007) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-08-15 |