| NPI | 1679856140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 17300) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH10389) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2025-04-28 |