| NPI | 1093147514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1714) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MS 1211) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2021-02-10 |