| NPI | 1225383235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1657) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008997) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2015-10-31 |