| NPI | 1558786525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH11556) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: HI DC 1265) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2015-12-09 |