| NPI | 1386878676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT CHI-CHI-LIC-1188) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 9178) |
| 111N00000X Chiropractor (Licence: MT 1188) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2022-12-19 |