| NPI | 1265621833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR010068) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 03477) |
| 111N00000X Chiropractor (Licence: NC 3810) | |
| 111N00000X Chiropractor (Licence: DE F1-0000804) | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2024-05-22 |