| NPI | 1093300790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PR 00740) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104557723) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2024-08-22 |