| NPI | 1518494335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08003050A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 7616) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-07-18 |