| NPI | 1679053508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 3201) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 2581) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2026-02-21 |