| NPI | 1578244521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5932) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.014009) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2026-05-30 |