| NPI | 1417641036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR011208) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MS 1388) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2025-04-15 |