| NPI | 1336510023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD S03850) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104557260) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2025-03-04 |