| NPI | 1326766015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4846) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 4648) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-09-30 |