| NPI | 1053491308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 10802) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: HI DC-995) |
| 111N00000X Chiropractor (Licence: NY X005494-1) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2013-03-04 |