| NPI | 1720644131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH12810) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 12810) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2021-11-04 |