| NPI | 1972650117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: KY 4551) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: KY 250274) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2025-04-13 |