| NPI | 1063913051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: HI DC-1589) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH12415) |
| Enumeration Date | 2018-02-24 |
| Last Update Date | 2024-01-19 |