| NPI | 1548477391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 8666) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 2194) |
| 111N00000X Chiropractor (Licence: MO 275594) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-07-25 |