| NPI | 1841314770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH13532) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 71 3710) |
| 111NS0005X Chiropractor, Sports Physician (Licence: OR 3710) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: FL CH13532) | |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2022-05-24 |