| NPI | 1558446542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 002503) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CFC6) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-11-29 |