| NPI | 1083612535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9766) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9280168) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2013-05-11 |