| NPI | 1871892497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8184) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH10104) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2012-05-25 |