| NPI | 1083036412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 12503) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH13952) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2023-06-01 |