| NPI | 1508262502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5138) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009414) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2021-12-30 |