| NPI | 1730969510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor Independent Medical Examiner (Licence: NC 5677) |
| Additional Taxonomies | 111NX0800X Chiropractor Orthopedic (Licence: NC 5677) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2024-05-14 |