| NPI | 1467673046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4575) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 3199) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-05-09 |