| NPI | 1285784843 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10610) | 
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2541) | 
| Enumeration Date | 2007-01-12 | 
| Last Update Date | 2016-09-28 |