| NPI | 1922406099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT CHI-CHI-LIC-4507) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ID CHIA-1629) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2018-07-12 |