| NPI | 1164979241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.014166) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA 60682155) |
| 111N00000X Chiropractor (Licence: WA CH60682155) | |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2024-08-23 |