| NPI | 1275039489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4296) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4892) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-05-10 |