| NPI | 1528084928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR007839) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 07839) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2019-05-08 |