| NPI | 1508927567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL Ch8154) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8154) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2024-04-18 |