| NPI | 1871252940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA S04174) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 13835) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2023-05-09 |