| NPI | 1285727677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO008280) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OK 3625) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2010-01-06 |