| NPI | 1043363112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MT CHI-CHI-LIC-2372) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR008124) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2025-06-12 |