| NPI | 1730211210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3973) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 4685) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2022-07-21 |