| NPI | 1891465563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 1416) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 6845) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2022-09-26 |