| NPI | 1780283424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DE F1-00011138) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 13262CH) |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2024-07-11 |