| NPI | 1215513411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B01892) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KS 01-06109) |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2023-05-02 |