| NPI | 1063571347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 14058) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2633) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2024-09-20 |