| NPI | 1578933628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: GA CHIR009119) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009119) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |