| NPI | 1063214419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 2219) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 130168) |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |