| NPI | 1750616785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X (Licence: TX 15920) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 10667) |
| 111N00000X Chiropractor (Licence: IL 038011505) | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2024-04-08 |