| NPI | 1174493290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 6010) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 19078) |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2026-08-31 |