| NPI | 1255534095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 8043) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 3649) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-10-10 |