| NPI | 1770878027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR008804) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 3639) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2012-01-13 |