| NPI | 1184456790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5588) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 9536) |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |