| NPI | 1518335553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 109594) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8476) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2022-03-06 |