| NPI | 1477837706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO10464) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NV b01405) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2021-04-08 |