| NPI | 1891845731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7494) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: AZ 4184) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2025-09-11 |