| NPI | 1730401696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 9917) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC010286) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2011-04-29 |