| NPI | 1558831701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5044) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104-557536) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2020-09-10 |