| NPI | 1548322373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 1525) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 1490) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2012-08-15 |