| NPI | 1447613229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO07546) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR007546) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2023-05-04 |