| NPI | 1356109805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PR 1040) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR011102) |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2025-06-17 |