| NPI | 1134140601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 16243) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2003009842) |
| 202D00000X Integrative Medicine (Licence: AR 16243) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-07-24 |