| NPI | 1265899579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH13608) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC011108) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2024-01-28 |