| NPI | 1275247173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR011287) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR.0008638) |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2024-10-28 |