| NPI | 1700327210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 276710) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: HI 1362) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2022-06-08 |