| NPI | 1548815723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 5169) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 2163) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2025-08-19 |