| NPI | 1558429456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PR 00346) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 006480) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2021-12-28 |