| NPI | 1174042774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4803) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 4381) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2019-08-12 |