| NPI | 1184777351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: VA 0104557798) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104557798) |
| 111NR0400X Chiropractor Rehabilitation (Licence: NY X008627) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2025-06-20 |