| NPI | 1235659954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH12177) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8401) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-07-21 |