| NPI | 1174290183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: PR 000982) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: GA chir010602) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2024-08-19 |