| NPI | 1245701341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 094197) |
| Additional Taxonomies | 111NP0017X Chiropractor Pediatric Chiropractor (Licence: IA 094197) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2023-12-28 |