| NPI | 1982000204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 110812) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 076004) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2022-07-21 |