| NPI | 1639536329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH13571) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X012791-1) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2021-08-18 |