| NPI | 1720419377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH10969) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 4322) |
| 111N00000X Chiropractor (Licence: MO 2012005141) | |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |