| NPI | 1548960123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PR 838) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: PR 838) |
| 111NN0400X Chiropractor, Neurology (Licence: PR 838) | |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: PR 838) | |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-05-11 |