| NPI | 1285647628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH6608) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 18513) |
| 111N00000X Chiropractor (Licence: NY X004883) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |