| NPI | 1700260767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4264) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4613) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2024-10-08 |