| NPI | 1437627734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 094120) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08003073A) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2020-03-27 |