| NPI | 1912277179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL Ch10596) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008707) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2014-05-26 |