| NPI | 1861288292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1413) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MS 2351) |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-16 |