| NPI | 1659514834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10470) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010076) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2016-01-21 |