| NPI | 1982053799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1360) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 082623) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2022-08-19 |