| NPI | 1083208862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: ID CHIA-2103) |
| Additional Taxonomies | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: ID CHIA-2013) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |