| NPI | 1538431705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10700) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008927) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2021-03-11 |