| NPI | 1679692834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SC 3222) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR008165) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2015-11-21 |