| NPI | 1649788977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557559) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 013062) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2024-05-22 |