| NPI | 1710750245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: HI DC-1599-0) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR010818) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2024-04-02 |