| NPI | 1518820786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 04217) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: DE F1-0011168) |
| Enumeration Date | 2025-12-04 |
| Last Update Date | 2026-04-16 |