| NPI | 1376396390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR010572) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MS 1335) |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |