| NPI | 1982179503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: NC 4742) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4742) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2022-07-07 |