| NPI | 1962717413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: FL 13103) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 13103) |
| 111N00000X Chiropractor (Licence: FL CH13103) | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2024-05-02 |