| NPI | 1215184098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10852) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC009992) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2014-03-26 |