| NPI | 1780990424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 9861) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4113) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2014-05-28 |