| NPI | 1477333789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 002291) |
| Additional Taxonomies | 111NI0900X Chiropractor Internist (Licence: CT 002291) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2025-06-16 |