| NPI | 1902372501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 15409) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60901299) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2023-01-14 |