| NPI | 1043403462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 006876) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: GA GA006876) |
| 111NR0400X Chiropractor Rehabilitation (Licence: GA GA006876) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2011-07-19 |