| NPI | 1235347949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO08577) |
| Additional Taxonomies | 111NR0200X Chiropractor Radiology (Licence: TX 10430) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-03-28 |