| NPI | 1174817944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B01637) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 005023) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2022-01-18 |