| NPI | 1124473822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 16121) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 1127) |
| Enumeration Date | 2016-04-30 |
| Last Update Date | 2020-07-22 |