| NPI | 1447096896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557996) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR011212) |
| Enumeration Date | 2024-07-05 |
| Last Update Date | 2024-07-05 |