| NPI | 1285195677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PR 726) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR010185) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2023-06-02 |