| NPI | 1689262495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: HI 1530) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 6125) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2023-05-17 |