| NPI | 1255691440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL CH10633) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 10633) |
| 111NN1001X Chiropractor, Nutrition (Licence: FL CH10633) | |
| 111NR0400X (Licence: FL CH10633) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2021-07-22 |