| NPI | 1427235126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR007980) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X011388) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2012-02-09 |