| NPI | 1396125530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH11473) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 012595) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2020-10-26 |