| NPI | 1164590410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9372) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008047) |
| 111N00000X Chiropractor (Licence: MI 2301009231) | |
| 111N00000X Chiropractor (Licence: SC 3224) | |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2016-09-06 |