| NPI | 1811064074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 11794) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH11794) |
| 111N00000X Chiropractor (Licence: CO 5172) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2024-01-09 |