| NPI | 1528497419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4017) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 007692) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2022-07-21 |