| NPI | 1033150362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4716) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: MO 2006002034) |
| 111NX0800X Chiropractor, Orthopedic (Licence: AZ 7862) | |
| 111N00000X Chiropractor (Licence: AZ 7862) | |
| 111NN0400X Chiropractor, Neurology (Licence: AZ 7862) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2026-02-23 |