| NPI | 1346599198 |
|---|---|
| Former Name | SHAYAL MARIE LESHO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3671) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4315) |
| 111N00000X Chiropractor (Licence: FL 11555) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2015-11-09 |