| NPI | 1750611455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 4022) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9874) |
| 111N00000X Chiropractor (Licence: IL 038011784) | |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2015-02-10 |