| NPI | 1104973783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556005) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 7512) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2013-06-13 |