| NPI | 1033673371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 010159) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL 12532) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2026-02-17 |