| NPI | 1811864572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PR 1110) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 5202) |
| Enumeration Date | 2025-10-18 |
| Last Update Date | 2025-10-18 |