| NPI | 1265990501 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301401548)  | 
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH12737)  | 
| Enumeration Date | 2019-03-06 | 
| Last Update Date | 2025-05-05 |