| NPI | 1114629342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 5130) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 5583) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2024-11-21 |