| NPI | 1396014619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5471) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2546) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2023-01-16 |