| NPI | 1972302644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 12468) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 20250000998) |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2026-03-16 |