| NPI | 1699438283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2744) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2021042441) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2022-08-25 |