| NPI | 1003803669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH13343) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X007596-1) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2025-11-28 |