| NPI | 1609186105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT CHI-CHI-LIC-2921) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ID CHIA-1430) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2018-05-23 |