NPI | 1609479062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR009011) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: GA CHIR009011) |
Enumeration Date | 2020-11-18 |
Last Update Date | 2021-04-07 |