| NPI | 1215092770 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 10856) | 
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7435) | 
| 111N00000X Chiropractor (Licence: CA DC28567) | |
| Enumeration Date | 2006-12-26 | 
| Last Update Date | 2018-08-13 |