| NPI | 1982562682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5983) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 5278) |
| Enumeration Date | 2026-01-12 |
| Last Update Date | 2026-01-12 |