| NPI | 1649691023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4502) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 5852) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2020-11-30 |