| NPI | 1568880938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557150) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019018952) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2025-08-01 |