| NPI | 1609892314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 3550) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: NY X009556-1) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2025-07-11 |