| NPI | 1225967896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0009085) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 16902) |
| Enumeration Date | 2026-05-18 |
| Last Update Date | 2026-05-29 |