| NPI | 1114171295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC NC3890) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008324) |
| Enumeration Date | 2008-11-16 |
| Last Update Date | 2010-08-02 |