| NPI | 1114510534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT CHI-CHI-LIC-8024) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 0008342) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2023-02-23 |