| NPI | 1912017542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM DC-2024-0009) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC-0042 13L) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2026-05-06 |