| NPI | 1306208426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 11157) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 1360) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |