| NPI | 1871864157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH12916) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 4250) |
| 111N00000X Chiropractor (Licence: GA Chir009008) | |
| 111N00000X Chiropractor (Licence: UT 9065262-1202) | |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2020-11-06 |