| NPI | 1942674627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03855) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104557543) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2020-06-02 |