| NPI | 1497050116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2025011095) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ME CR2148) |
| 111N00000X Chiropractor (Licence: OR 5919) | |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2026-03-19 |