| NPI | 1922417864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03795) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: DE F1-0000886) |
| 111N00000X Chiropractor (Licence: PA DC010859) | |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2024-02-20 |