| NPI | 1861672206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: FL CH3746) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038004210) |
| 111N00000X Chiropractor (Licence: IN 08000863) | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2015-02-11 |