| NPI | 1760036982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR010303) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8837) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2021-01-07 |