| NPI | 1699925123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 23189) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3477) |
| Enumeration Date | 2008-09-20 |
| Last Update Date | 2019-12-10 |