| NPI | 1750388377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PR 281) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 4896) |
| Enumeration Date | 2005-06-29 |
| Last Update Date | 2024-01-22 |