| NPI | 1023697174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: AZ 9160) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 5645) |
| 111N00000X Chiropractor (Licence: FL 13486) | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2025-12-09 |