| NPI | 1083216634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557711) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 13263) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2022-10-31 |