| NPI | 1285907212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR009483) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WV 938) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2024-10-25 |