| NPI | 1730697368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH12991) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA 090251) |
| 111N00000X Chiropractor (Licence: GA CHIR010150) | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2020-04-15 |