| NPI | 1013596949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5773) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 013447) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2026-01-29 |