| NPI | 1750651667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 1215) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA GA002528) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2015-08-21 |