| NPI | 1316597586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-2326) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NV B01786) |
| 111N00000X Chiropractor (Licence: TX 15117) | |
| 111NN1001X Chiropractor Nutrition (Licence: ID CHIACN-2351) | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2023-11-20 |