| NPI | 1457955882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH15602) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA63328) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2025-09-11 |