| NPI | 1124798285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA chiro11234) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 3438) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2025-09-11 |