| NPI | 1275761058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7717) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: FL CH7717) |
| 111N00000X Chiropractor (Licence: GA CHIR006060) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2016-06-24 |