| NPI | 1215178025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008611) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 3931) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2010-06-10 |