| NPI | 1295407476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5589) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR010639) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2023-04-03 |