| NPI | 1699067728 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008433)  | 
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: GA CHIR008433)  | 
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: GA CHIR008433)  | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR008433)  | |
| 111NS0005X Chiropractor, Sports Physician (Licence: GA CHIR008433)  | |
| 111NX0100X Chiropractor, Occupational Health (Licence: GA CHIR008433)  | |
| Enumeration Date | 2011-05-08 | 
| Last Update Date | 2011-05-08 |