| NPI | 1770295495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIRO010660) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC DC5114DC) |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2025-11-07 |