| NPI | 1679897227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: GA CHIR008156) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: GA CHIR008156) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |