| NPI | 1619423522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 12067) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PR 0615) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2022-07-26 |