| NPI | 1083327365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 13131016-1202) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08003359A) |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-01-02 |