| NPI | 1538355094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008245) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104556584) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2009-11-23 |