| NPI | 1184039380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 002964) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: GA RN228889) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2018-08-01 |