| NPI | 1659657542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10731) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 11916) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2018-04-20 |