| NPI | 1205829512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH0005053) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SD 609) |
| 111N00000X Chiropractor (Licence: CO 1937) | |
| 111N00000X Chiropractor (Licence: AZ 3750) | |
| 111N00000X Chiropractor (Licence: IA 4892) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2008-06-26 |