| NPI | 1962076307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MT 6773) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MT CHI-CHI-LIC-6773) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2023-04-27 |