| NPI | 1164804050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH14557) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 9343) |
| 111NI0013X Chiropractor, Independent Medical Examiner (Licence: TX 9343) | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2025-12-10 |