| NPI | 1922600428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2719) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 13293) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2022-03-31 |