| NPI | 1659497402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR006594) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 8967) |
| 111N00000X Chiropractor (Licence: PR 000463) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-09-18 |