| NPI | 1083969729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 12388) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 001922) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2023-08-01 |