| NPI | 1346500501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10963) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x012321-1) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2014-02-10 |