| NPI | 1609286970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 03669) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 06638) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |