| NPI | 1891101952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S04034) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104556760) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2023-07-28 |