| NPI | 1679950836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL CH6510) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH6510) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: FL CH6510) | |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |