| NPI | 1265005839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 013456) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009546) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-09-29 |