| NPI | 1629750575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 1087) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 285977) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-12-04 |