| NPI | 1649941691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 109944) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 2126) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2022-11-15 |