| NPI | 1770770992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: GA 007645) |
| Additional Taxonomies | 111NN1001X Chiropractor Nutrition (Licence: GA 007645) |
| 111NS0005X Chiropractor Sports Physician (Licence: GA 007645) | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2010-02-04 |