| NPI | 1083735633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1280) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 6046) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2023-06-08 |