| NPI | 1205581782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH14025) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR010592) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-11-09 |