| NPI | 1164916748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 6015-12) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 3125) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-09-20 |