| NPI | 1912612540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NM DC-2025-0034) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 8617) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2025-12-29 |