| NPI | 1558881094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4591) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 5542) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2024-01-22 |