| NPI | 1902346893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13982) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC011335) |
| 111N00000X Chiropractor (Licence: VA 0104557340) | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2024-09-04 |