| NPI | 1578679783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 07864) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR007864) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2022-04-26 |