| NPI | 1366030512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557819) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 12057814-1202) |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2023-02-25 |