| NPI | 1326529967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557558) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD S03985) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2023-09-15 |