| NPI | 1710621511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: NC 5439) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 5439) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2023-06-08 |