| NPI | 1306219423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4373) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 080423) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2018-11-27 |