| NPI | 1922354034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3730) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4290) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2023-11-07 |