| NPI | 1871014977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 13474) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 0007632) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2023-06-21 |