| NPI | 1962649053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 2263) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: AL 2263) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2023-11-29 |