| NPI | 1194356394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM DC-2025-0032) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: TX 14342) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2026-04-13 |