| NPI | 1770594145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9000) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MS 1031) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2014-01-17 |