| NPI | 1760190805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA 010857) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: GA 010857) |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-12-07 |