| NPI | 1164538526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH11248) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 2864) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2015-07-09 |