| NPI | 1083093876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557427) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009487) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2017-10-20 |