| NPI | 1679049613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 12616) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PR 774) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2021-06-20 |