| NPI | 1154804474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: GA CHIR010098) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR010098) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |