| NPI | 1750893764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1958) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR009957) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2023-07-31 |