| NPI | 1558110239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO11247) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 3838) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-09-09 |