NPI | 1275283012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: GA CHIR010893) |
Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: NC 5178) |
Enumeration Date | 2022-03-25 |
Last Update Date | 2024-11-12 |