| NPI | 1609584663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 172P00000X Naprapath |
| 175F00000X Naturopath | |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2025-08-19 |