| NPI | 1174334692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH15717) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR011055) |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2026-06-02 |