| NPI | 1457759078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AL 1440) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIRO04875) |
| Enumeration Date | 2014-12-13 |
| Last Update Date | 2015-06-08 |