| NPI | 1356713564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL Ch12185) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MT 3970) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2021-05-24 |