| NPI | 1093290298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 2014) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-05935) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2020-11-11 |