| NPI | 1083006498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008687) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104556874) |
| Enumeration Date | 2015-02-22 |
| Last Update Date | 2015-02-22 |