| NPI | 1669987228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR002719) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA 2719) |
| 111N00000X Chiropractor (Licence: GA CHIR00002710) | |
| 111N00000X Chiropractor (Licence: GA CHIRO02719) | |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |