NPI | 1184739385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO08626) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 27 3175) |
111NS0005X Chiropractor, Sports Physician (Licence: OR 27 3175) | |
111NS0005X Chiropractor, Sports Physician (Licence: GA CHIRO08626) | |
Enumeration Date | 2006-08-20 |
Last Update Date | 2010-04-29 |