| NPI | 1114922739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-819) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: ID CHIA819) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2023-07-12 |