| NPI | 1730616814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH12193) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009895) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-05-19 |