| 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 |