| NPI | 1104919596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008525) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OK 3619) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2009-12-31 |