| NPI | 1184213290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MD S04076) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD M04875) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2023-06-12 |