| NPI | 1396164521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TN 2736) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 11048) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2020-10-21 |