| NPI | 1124265624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL ch 7787) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: FL ch7787) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: FL ch7787) | |
| 111NR0200X Chiropractor, Radiology (Licence: FL ch7787) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: FL ch7787) | |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2010-12-15 |