| NPI | 1588631675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH8649) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 20841) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2014-09-15 |