| NPI | 1609060078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 3284) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 007625) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2025-08-06 |