| NPI | 1295181360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557401) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6220) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2021-09-03 |