| NPI | 1891115481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL ch 11601) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 012514) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2023-03-21 |