| NPI | 1184156655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4641) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 5264-12) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2022-11-21 |