| NPI | 1205050259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR006958) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8589) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |