| NPI | 1639815921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5602) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR.0008534) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2023-07-10 |