| NPI | 1033851811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557987) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019020143) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2025-10-31 |