| NPI | 1306203807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 9545633-1202) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NV B01647) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2026-04-09 |