| NPI | 1245968643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 4017) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3803) |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2025-12-17 |