| NPI | 1568432540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2207) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 2101780) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2022-04-28 |