| NPI | 1295204634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B01874) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 5898) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2023-08-04 |