| NPI | 1144910084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5747) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA DC011014) |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2024-08-26 |