| NPI | 1760620256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 2921) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8654) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |