| NPI | 1134623747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 090662) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: IA L-318929) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2025-10-31 |