| NPI | 1518678317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR010890) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA CHIR010890) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |