| NPI | 1619037793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10003) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR007967) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2012-10-11 |