| NPI | 1083200877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08003165A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 34718) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-15 |