| NPI | 1134772593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO10242) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 3748) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2021-11-04 |