| NPI | 1164792289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10423) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3682) |
| 111N00000X Chiropractor (Licence: CT 001892) | |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |