| NPI | 1083934319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9869) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11001540) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2020-10-23 |