| NPI | 1730393901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO05445) |
| Additional Taxonomies | 111NN0400X Chiropractor Neurology (Licence: GA CHIRO05445) |
| 111NR0200X Chiropractor Radiology (Licence: GA CHIRO05445) | |
| 111NS0005X Chiropractor Sports Physician (Licence: GA CHIRO05445) | |
| 111NT0100X Chiropractor Thermography (Licence: GA CHIRO05445) | |
| 111NX0800X Chiropractor Orthopedic (Licence: GA CHIRO05445) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |