| NPI | 1457520892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 008026) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: GA 008026) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |