| NPI | 1992069579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 270909) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038012206) |
| 111N00000X Chiropractor (Licence: CO 7199) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2023-04-26 |