| NPI | 1316301542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0008575) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH11981) |
| 111N00000X Chiropractor (Licence: GA chir009685) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2026-04-30 |