| NPI | 1811555246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH13328) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR010197) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2021-05-06 |