| NPI | 1376962118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PR 570) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: PR 570) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2018-04-16 |