| NPI | 1538014535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 04293) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 4854) |
| Enumeration Date | 2026-03-04 |
| Last Update Date | 2026-03-31 |