| NPI | 1093422404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PR 000974) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR010904) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2024-09-16 |