| NPI | 1649874215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 6292) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SD 1384) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2023-04-24 |