| NPI | 1023102605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL CH8533) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 8533) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-12-08 |