| NPI | 1760883268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH11282) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY x012696) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2022-09-08 |