| NPI | 1578685376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO09477) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC28628) |
| 111N00000X Chiropractor (Licence: CA 28628) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2015-03-26 |