| NPI | 1124317730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10183) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002521A) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2012-07-03 |