| NPI | 1518530484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 14602) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2021010445) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2024-03-20 |