| NPI | 1760864458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 11584) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 4459) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2025-12-29 |