| NPI | 1659716355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR009319) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: VA 0104556985) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2014-07-15 |