| NPI | 1578787651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA Chiro07709) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: GA Chiro07709) |
| 111NR0200X Chiropractor, Radiology (Licence: GA Chiro07709) | |
| 111NR0400X (Licence: GA Chiro07709) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: GA Chiro07709) | |
| 111NT0100X Chiropractor, Thermography (Licence: GA Chiro07709) | |
| 111NX0800X Chiropractor, Orthopedic (Licence: GA Chiro07709) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |