| NPI | 1194123760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA dc011515) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH11842) |
| 111N00000X Chiropractor (Licence: VT 006.0108534) | |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2021-06-18 |