| NPI | 1376192351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA Chir010182) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIRO10182) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2023-03-22 |