| NPI | 1376011916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557504) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD S03988) |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2021-11-16 |