| NPI | 1679278535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR010929) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIRO10929) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-04-05 |