| NPI | 1083718233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 1812) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 2553) |
| 111N00000X Chiropractor (Licence: FL CH5078) | |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2009-06-16 |