| NPI | 1831794213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 4602) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: SC 4602) |
| 111NS0005X Chiropractor Sports Physician (Licence: SC 4602) | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |