| NPI | 1700163508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: GA CHIRO09081) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: GA CHIRO09081) |
| 111NN1001X Chiropractor, Nutrition (Licence: GA CHIRO09081) | |
| 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: GA CHIRO09081) | |
| 111NR0400X (Licence: GA CHIRO09081) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: GA CHIRO09081) | |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2013-01-08 |