| NPI | 1447727011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X (Licence: NV B01998) |
| Additional Taxonomies | 111NR0200X Chiropractor, Radiology (Licence: MN 6534) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2024-08-20 |