NPI | 1174862122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: GA CHIR009103) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009103) |
111NN1001X Chiropractor, Nutrition (Licence: GA CHIR009103) | |
111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR009103) | |
Enumeration Date | 2013-02-12 |
Last Update Date | 2015-09-09 |