| NPI | 1588062350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR009427) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008898) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2023-03-17 |