| NPI | 1770973513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH13210) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4534) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2021-09-22 |