| NPI | 1508383662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 5567) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104557431) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2022-10-06 |