| NPI | 1285753822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH6400) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X06447) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2010-08-24 |