| NPI | 1710192240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: GA 5365) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: SC 1885) |
| 111NR0400X Chiropractor Rehabilitation (Licence: FL CH7169) | |
| 111NR0400X Chiropractor Rehabilitation (Licence: MA 2874) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-09 |