| NPI | 1154033926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2823) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2022049230) |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2024-07-26 |