| NPI | 1265658033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10011) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x010990-1) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2016-01-26 |