| NPI | 1992426696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557918) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD S04127) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2025-04-14 |