| NPI | 1881922946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: FL CH7301) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: SC 950) |
| 111NI0900X Chiropractor, Internist (Licence: PA 2593L) | |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |