| NPI | 1003258963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 10937) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104557107) |
| Enumeration Date | 2013-07-20 |
| Last Update Date | 2019-01-17 |