| NPI | 1336603257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: LA 1927) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: TX 13875) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2024-06-18 |