| NPI | 1841784766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557497) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NV B01785) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2022-03-28 |