| NPI | 1982090403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1676) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 6233) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2024-06-26 |