| NPI | 1023786571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR010496) |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: GA CHIR010496) |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: GA CHIR010496) | |
| 111NR0200X Chiropractor, Radiology (Licence: GA CHIR010496) | |
| 111NR0400X (Licence: GA CHIR010496) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: GA CHIR010496) | |
| 111NX0800X Chiropractor, Orthopedic (Licence: GA CHIR010496) | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2023-06-05 |