| NPI | 1760143473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 14639) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 275196) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2025-01-08 |