| NPI | 1245872522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557610) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 3338) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2021-03-09 |