| NPI | 1235615386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X (Licence: GA CHIR009798) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009798) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2024-10-30 |