| 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 |