| NPI | 1619399458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH11085) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PR 515) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-04-03 |