| NPI | 1386011138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 0007325) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PR 752) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2023-11-29 |