| NPI | 1568568996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 1154) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8843) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2011-10-14 |