| NPI | 1205478567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH14681) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 013296) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2026-07-22 |