| NPI | 1760714745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH7160) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 1693) |
| 111N00000X Chiropractor (Licence: NJ 38MC00446900) | |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-08 |