| NPI | 1932418159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT 7982) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 4053) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2024-10-09 |