| NPI | 1144845660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT CHI-CHI-LIC-6731) |
| Additional Taxonomies | 111NR0400X (Licence: CO 8103) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2022-07-25 |