| NPI | 1063575017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL ch9829) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 6078) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2015-04-15 |