| NPI | 1467643080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10004) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008216) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2017-11-29 |