| NPI | 1548615610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NR0400X (Licence: GA CHIR009658) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009658) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2021-04-27 |