| NPI | 1063533073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 5403) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AL 1661) |
| 111N00000X Chiropractor (Licence: SC 1946) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |