| NPI | 1689188203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 5124) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009962) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2019-12-09 |